OMEDED1

Question 1

What are the three classic findings of allergic rhinitis and what are the top two treatments?

Answer 1

Allergic shiners, nasal crease, pale nasal mucosa

Avoidance and topical steroids

Question 2

What is West Syndrome? What is the sign on EEG? What is the treatment for it?

Answer 2

Infantile spasms
Hypsarrhythmia on EEG
Cosyntropin or ACTH

Question 3

What are two findings on blood smear for sickle cell?

Answer 3

Howell jolly bodies and sickle cells

Question 4

What does BRUE stand for and what is the difference between high risk and low risk?

Answer 4

Benign resolved unexplained events
Low risk: over 60 days old and first episode
High risk: younger than 60 days and multiple episodes

Question 5

When a new baby is born, when can we move straight to suctioning of the mouth and nose followed by stimulating and drying?
When would we need to do endotracheal suctioning and ET tube?
When do we do PPV?

Answer 5

Good respiratory effort, vigorous cry and pulse over 100

Pulse between 60 and 100, poor respiratory effort and meconium

Kid is floppy, pulse below 60 and respiratory effort sucks

Question 6

What is the treatment for gonococcal conjunctivitis in a neonate?

Answer 6

IV or intramuscular ceftriaxone

Question 7

What are the three steps to diagnose hirshprung?

Treatment?

Answer 7

Abdominal x ray, contrast enema, rectal suction biopsy

Resection of distal colon

Question 8

What is the sign on X-ray for epiglottitis?

Answer 8

Thumb sign

Question 9

3 symptoms to always know with TB?

Answer 9

Fever, night sweats and weight loss

Question 10

Cyanotic heart + NOT diagnosed at birth will equal?

Answer 10

Tetralogy

Question 11

Two symptoms to know for a peritonsillar abscess and what would X ray show?

Answer 11

Tonsillar shift or deviation in the presence of a fever

Normal x ray

Question 12

What is the first step in diagnosing esophageal atresia?

Answer 12

NG tube and x ray to confirm its placement

Question 13

What is the first step in diagnosing/confirming coarctation of the aorta?

Answer 13

Echo

Question 14

Let’s say you get a kid with a upper respiratory viral infection with a fever, but everything is good. He has a little protein in the urine. What would be the next best step?

Answer 14

Repeat the urine dipstick a week later to see if protein is still there.

Question 15

When a baby is born with an imperforate anus, what do you need to evaluate for?

Answer 15

VACTERL
Vertebral anomalies, anal atresia, cardiac defects, tracheoesophageal fistula, esophageal fistula, renal anomalies, limb deformities

Question 16

What do you start with when evaluating for VACTERL?

Answer 16

Echo for cardiac defects and placing NG tube for fistula

Question 17

Once VACTERL is ruled out, how do you repair the anus?

Answer 17

If the colon is high enough, meaning too far away from the anus, then colostomy bag.

If it is low, close to anus, then just sew it together.

Question 18

For symptomatic neonatal hypoglycemia, how do we treat?

Answer 18

IV dextrose bolus

Question 19

What do we give a baby to replace their formula if they have an allergy to milk soy formula?

Answer 19

Hydrolyzed formula

Question 20

What is the antibiotic of choice for otitis media?

Answer 20

Oral amoxicillin

Question 21

What is the best way to effectively reduce the number of or prevent pain crisis in sickle cell patients and what is the mechanism of the treatment?

Answer 21

Hydroxyurea

Increases the number of fetal hemoglobin which cant sickle

Question 22

Nodule on the tibial tuberosity in a teenager equals?

Answer 22

Osgood Schlatter

Question 23

Nighttime bed wetting in children of what age is not pathological?
What is the difference between primary and secondary enuresis?

Answer 23

Less than 5

Primary is the kid was never dry at night and secondary is the kid was dry at night for at least 6 months and then started wetting the bed again

Question 24

Bloody diarrhea with unintentional weight loss in a teenager should prompt evaluation for what?

Answer 24

IBD

Question 25

What are the two peaks in age for IBD?

Answer 25

10-20 and 50-80

Question 26

How do we diagnose necrotizing enterocolitis in the neonate with abdominal imaging?

Answer 26

Air in the wall of the bowel

Question 27

What four diseases are essential to think about with a premature infant?

Answer 27

Intraventricular hemorrhage, bronchopulmonary dysplasia, retinopathy of prematurity, and necrotizing enterocolitis

Question 28

If a baby boy has a hypospadias or epispadias at birth, what is the best course of management and how does that effect the circumcision?

Answer 28

Surgical correction and delay the circumcision

Question 29

2 signs on x ray for TTN and treatment?

2 signs on x ray for RDS and treatment?

Answer 29

Hyper-inflated and wet, CPAP

Under inflated and granular, incubate and surfactant

Question 30

When would we do a laparoscopy instead of air enema for intussusception?

Answer 30

When we think the bowel is dead and then it becomes emergency surgery.